Baker, Roxann
Baker, Roxann is an individual health care provider with primary practice located at 20905 Greenfield Rd Suite 208, Southfield MI 48075-5360. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Baker, Roxann can be contacted via phone (248) 569-3490.Contact Information
Primary practice address
20905 Greenfield Rd Suite 208
Southfield MI 48075-5360
Phone: (248) 569-3490
Fax: (248) 569-3471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13077 | Michigan |
Profile Details
| NPI number | 1154370450 |
|---|---|
| LBN Legal business name | Baker, Roxann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154370450 | NPPES |
| Michigan | MEDICAID | 1759109 |
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